Evidence map›Paper›PMID 31148441›Full record

SynthesisCanadian journal of surgery. Journal canadien de chirurgie2019

Impact of acute care surgery on timeliness of care and patient outcomes: a systematic review of the literature

Ashley Vergis, Jennifer Metcalfe, Shannon E. Stogryn, Kathleen Clouston, Krista Hardy

Abstract readSystematic Review
In one paragraph

Synthesis in Canadian journal of surgery. Journal canadien de chirurgie, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Antimicrobial Challenge in Acute Care Surgery.Antibiotics (Basel, Switzerland) · 2022
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Ashley VergisFrom the Department of Surgery, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Man. (Vergis, Metcalfe, Stogryn, Clouston, Hardy); and St. Boniface Hospital, Winnipeg, Man. (Vergis, Clouston, Hardy).
Jennifer MetcalfeFrom the Department of Surgery, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Man. (Vergis, Metcalfe, Stogryn, Clouston, Hardy); and St. Boniface Hospital, Winnipeg, Man. (Vergis, Clouston, Hardy).
Shannon E. StogrynFrom the Department of Surgery, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Man. (Vergis, Metcalfe, Stogryn, Clouston, Hardy); and St. Boniface Hospital, Winnipeg, Man. (Vergis, Clouston, Hardy).
Kathleen CloustonFrom the Department of Surgery, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Man. (Vergis, Metcalfe, Stogryn, Clouston, Hardy); and St. Boniface Hospital, Winnipeg, Man. (Vergis, Clouston, Hardy).
Krista HardyFrom the Department of Surgery, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Man. (Vergis, Metcalfe, Stogryn, Clouston, Hardy); and St. Boniface Hospital, Winnipeg, Man. (Vergis, Clouston, Hardy).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Dedicated emergency general surgery (EGS) service models were developed to improve efficiency of care and patient outcomes. The degree to which the EGS model delivers these benefits is debated. We performed a systematic review of the literature to identify whether the EGS service model is associated with greater efficiency and improved outcomes compared to the traditional model. Methods: We searched MEDLINE, Embase, Scopus and Web of Science (Core Collection) databases from their earliest date of coverage through March 2017. Primary outcomes for efficiency of care were surgical response time, time to operation and total length of stay in hospital. The primary outcome for evaluating patient outcomes was total complication rate. Results: The EGS service model generally improved efficiency of care and patient outcomes, but the outcome variables reported in the literature varied. Conclusion: Development of standardized metrics and comprehensive EGS databases would support quality control and performance improvement in EGS systems.

Indexed as

Surgical Procedures, OperativeAppendicitisCholecystitisEmergency Medical ServicesEmergency Service, HospitalGeneral SurgeryHumansLength of StayPatient Care TeamPostoperative ComplicationsTime-to-TreatmentTreatment Outcome

Identifiers

PMID31148441
PMCPMC6660274

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.